=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609685288
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANAYA HOWELL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2025
-----------------------------------------------------
Last Update Date | 01/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 466 SOUTHERN BOULEVARD JEFFERSON BUILDING
-----------------------------------------------------
City | CHATHAM TOWNSHIP
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07928
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-370-9944
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 670 FAIRFIELD WAY
-----------------------------------------------------
City | UNION
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07083-9137
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | 243-055
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------